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Chiropractic Journal of Australia : CJA June 2012
Chiropractic Journal of Australia Volume 42 Number 2 June 2012 51 INTRODUCTION All but the most senior of currently practicing chiropractors in Australia started their careers as government registered practitioners. Until recently all registration of Chiropractors in Australia was state based. Western Australia was the frst Australian jurisdiction to grant chiropractors statutory registration in 1964, followed by Victoria and New South Wales in 1978 who included registration of osteopaths.1 In 2005 the Commonwealth Government requested the Productivity Commission undertake a research study of issues impacting the healthcare workforce with the aim of ensuring continued delivery of quality healthcare in Australia over the next decade.2 The Productivity Commission replied in 2006 with a report listing their recommendations. A key recommendation was that national registration boards for health professionals should be established as opposed to the state level boards that were in place at the time.2 At the 21st meeting of Council of Australian Governments (COAG) in Adelaide on 26 March 2008 all Governments in Australia made a commitment to a new microeconomic reform agenda for Australia, with particular focus on health, water, regulatory reform and the broader productivity agenda.3 The Council signed an Intergovernmental Agreement to create a single national registration and accreditation system for nine health professions, which included chiropractic.4 The stated goals of the new scheme were to help health professionals move around the country more easily, reduce red tape, provide greater safeguards for the public and promote a more fexible, responsive and sustainable health workforce. COAG declared that action on Health Workforce Registration would lay the foundation for longer-term reform of the health system.4 On the 31st August 2009 the Australian Health Workforce Ministerial Council announced the appointment of the 108 inaugural members of the ten national boards (podiatrists had now been included). These appointments were made under the Health Practitioner Regulation (Administrative Arrangements) National Law Act 2008 5 which was passed in Queensland Parliament giving effect to the administrative arrangements for the National Registration Accreditation Scheme for the Health Professions. The Health Practitioner Regulation National Law Act 2009 (the National Law) received Royal Assent on 3 November 2009 and came into effect on 1 July 2010. This provided for the full operation of the National Registration and Accreditation Scheme. The Health Practitioner Regulation National Law established both the Australian Health Practitioner Regulation Agency (AHPRA)6 and the Chiropractic Board of Australia (CBA) for the chiropractic profession.7 The former was established to improve the quality and safety of Australia’s health services through a modernised national regulatory system for health professionals.8 The function of the CBA is to decide the requirements for registration, approve accredited programs as providing qualifcation for registration and to register suitably qualifed and competent chiropractors.9 The Chiropr J Aust 2012;42: 51-9. Joshua Fitzgerald, BChiroSc, MChiro Private Practice of Chiropractic Wollongong, NSW Christopher Burrell, BSc, MChiro, LLB Adjunct Lecturer Faculty of Science - Department of Chiropractic Macquarie University Peter Bull, DC, MAppSc, MIR, FICC, FACC Senior Lecturer Faculty of Science - Department of Chiropractic Macquarie University Declaration: The authors have no conficts of interest to declare regarding this paper or the material described therein. Received 24 February 2012. Accepted: 10 April 2012 Health Practitioner Regulation National Law Act 2009: Attitudes And Compliance Of The Chiropractic Profession One Year On ABSTRACT: The Health Practitioner Regulation National Law Act was implemented in 2010, and brought with it the Australian Health Practitioner Regulation Agency and the Chiropractic Board of Australia. This resulted in the production of a new National Chiropractic Code of Conduct. The aim of this study was to assess the attitudes and compliance of the chiropractic profession to these changes one year on. This was achieved by a cross sectional survey of both the Chiropractic Association of Australia and Chiropractic and Osteopathic College of Australia members. The results indicate that participating chiropractors are generally compliant towards and supportive of most of the requirements within the National Chiropractic Code of Conduct.. This study serves to inform the chiropractic profession of their ethical and legal obligations, and as a comparison for future studies. INDEX TERMS:(MeSH) ATTITUDES; CODES OF ETHICS. (Other): CODE OF CONDUCT;COMPLIANCE; REGULATIONS; HEALTH PRACTITIONERS NATIONAL LAW. JOSHUA FITZGERALD, CHRISTOPHER BURRELL and PETER BULL
CJA March 2012
CJA September 2012